NDLI: Obesity and the risk of intracerebral hemorrhage: the multicenter study on cerebral hemorrhage in Italy.

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Obesity and the risk of intracerebral hemorrhage: the multicenter study on cerebral hemorrhage in Italy.

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Obesity and the risk of intracerebral hemorrhage: the multicenter study on cerebral hemorrhage in Italy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Costa, Paolo Del Zotto, Elisabetta Poli, Loris Morotti, Andrea Pentore, Roberta Silvestrelli, Giorgio Ciccone, Alfonso Simone, Anna Maria Pezzini, Alessandro Volonghi, Irene Guido, Davide Iacoviello, Licia Padovani, Alessandro Caso, Valeria Zini, Andrea Lanari, Alessia De Gaetano, Giovanni Falzone, Francesca Agnelli, Giancarlo Grassi, Mario Di Castelnuovo, Augusto Gamba, Massimo Colombi, Marina Paciaroni, Maurizio Nichelli, Paolo Frigio Ritelli, Marco Giossi, Alessia
Spatial Coverage	Italy
Description	Country affiliation: Italy Author Affiliation: Pezzini A ( Dipartimento di Scienze Cliniche e Sperimentali, Clinica Neurologica, Università degli Studi di Brescia, P.le Spedali Civili 1, 25123 Brescia, Italia. alessandro.pezzini@med.unibs.it)
Abstract	BACKGROUND AND PURPOSE: The effect of obesity on the risk of intracerebral hemorrhage (ICH) may depend on the pathophysiology of vessel damage. To further address this issue, we investigated and quantified the correlations between obesity and obesity-related conditions in the causal pathways leading to ICH. METHODS: A total of 777 ICH cases ≥ 55 years of age (287 lobar ICH and 490 deep ICH) were consecutively enrolled as part of the Multicenter Study on Cerebral Hemorrhage in Italy and compared with 2083 control subjects by a multivariate path analysis model. Separate analyses were conducted for deep and lobar ICH. RESULTS: Obesity was not independently associated with an increased risk of lobar ICH (odds ratio [OR], 0.76; 95% confidence interval [CI], 0.58-1.01) or deep ICH (OR, 1.18; 95% CI, 0.95-1.45) when compared with control subjects. The path analysis confirmed the nonsignificant total effect of obesity on the risk of lobar ICH (OR, 0.77; 95% CI, 0.58-1.02) but demonstrated a significant indirect effect on the risk of deep ICH (OR, 1.28; 95% CI, 1.03-1.57), mostly determined by hypertension (OR, 1.07; 95% CI, 1.04-1.11) and diabetes mellitus (OR, 1.04; 95% CI, 1.01-1.07). Obesity was also associated with an increased risk of deep ICH when compared with lobar ICH (OR, 1.62; 95% CI, 1.14-2.31). CONCLUSIONS: Obesity increases the risk of deep ICH, mostly through an indirect effect on hypertension and other intermediate obesity-related comorbidities, but has no major influence on the risk of lobar ICH. This supports the hypothesis of different, vessel-specific, biological mechanisms underlying the relationship between obesity and cerebral hemorrhage.
ISSN	00392499
e-ISSN	15244628
Journal	Stroke
Issue Number	6
Volume Number	44
Language	English
Publisher	Lippincott Williams & Wilkins (on behalf of the American Heart Association)
Publisher Date	2013-06-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Cerebral Hemorrhage Classification Epidemiology Obesity Complications Case-control Studies Comorbidity Diabetes Complications Hypertension Multivariate Analysis Risk Factors Multicenter Study Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine Neuroscience Advanced and Specialized Nursing Neurology (clinical)

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